WALTER J SONG (M.D.) – Orthopaedic Hand Surgery Physician, NPI 1669652996

WALTER J SONG (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in HAND SURGERY, ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 12661 (NV). The NPI Number for WALTER J SONG (M.D.) is 1669652996

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
WALTER J SONG (M.D.)
NPI
1669652996
Phone
(702) 731-1616
Address
2800 E DESERT INN RD STE 100
Enumeration Date
3 November 2007
Last Update Date
17 September 2019

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
7027311616
Graduation Year
2002 (24 years ago)
PAC ID
3971670456
Group Practice PAC ID
6406759661
Professional Enrollment ID
I20080925000169
Address ID
NV891213609LA2800XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

35 HAND SURGERY in NV

Provider Addresses for WALTER J SONG (M.D.)

  • 2800 E DESERT INN RD STE 100

    LAS VEGAS, NV 891213609

    Phone: (702) 731-1616

    Fax: (702) 734-4900

    Type: Location

  • 8402 Centennial Pkwy

    Las Vegas, NV 891494792

    Phone: (702) 869-3486

    Fax: (702) 869-3542

    Type: Location

  • 2930 W Horizon Ridge Pkwy

    Henderson, NV 890525058

    Phone: (702) 263-9082

    Fax: (702) 263-9088

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Stryker Corporation ($55).

Total Amount

$122

General + Research + Ownership

Payments

4

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080925000169IHand SurgeryNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg697262$0
73130X-ray of hand, minimum of 3 views326237$0
99213Established patient office or other outpatient visit, 20-29 minutes298206$0
73110X-ray of wrist, minimum of 3 views231107$0
20550Injection into tendon or ligament199142$0
View full utilization report →

Insurance plans in this area (ZIP 89121)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406759661View full group profile
NameSpecialtyState
Physician AssistantNV
Physician AssistantNV
Physical Therapist In Private PracticeNV
Orthopedic SurgeryNV
Orthopedic SurgeryNV
Physical Therapist In Private PracticeAL
-NV
Physical Therapist In Private PracticeNV
Orthopedic SurgeryNV
Orthopedic Surgery, Sports MedicineNV

Reviews

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Frequently asked questions

Does WALTER J SONG (M.D.) have a public NPI I can cite?
Public records show WALTER J SONG (M.D.) under NPI 1669652996.
Does the public listing show WALTER J SONG (M.D.) as active?
WALTER J SONG (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits WALTER J SONG (M.D.)?
NPPES ties WALTER J SONG (M.D.) to Orthopaedic Hand Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is WALTER J SONG (M.D.) tied to Las Vegas, Nevada?
If you are local to Las Vegas, Nevada, WALTER J SONG (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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